| NPI | 1003401233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN BRAMLET Treasurer 615-294-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-11 |